Healthcare Provider Details

I. General information

NPI: 1225297088
Provider Name (Legal Business Name): SCO FAMILY OF SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2008
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 KELLUM PL STE 140
GARDEN CITY NY
11530-1604
US

IV. Provider business mailing address

1415 KELLUM PL STE 140
GARDEN CITY NY
11530-1604
US

V. Phone/Fax

Practice location:
  • Phone: 516-759-1844
  • Fax: 516-759-6921
Mailing address:
  • Phone: 516-759-1844
  • Fax: 516-759-6921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDREA SMITH
Title or Position: DIRECTOR OF MANAGED CARE
Credential:
Phone: 516-532-5422